Orbital Complications of Rhinosinusitis

Sijuwola, OO; Aa, Adeyemo; Adeosun, AA

doi:10.4314/aipm.v5i1.63537

Cited by 10 publications

(4 citation statements)

References 9 publications

(9 reference statements)

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“…In another study, it was shown that ethmoidal sinuses were the most affected location in their cases and the maxillary sinuses were third, while our study demonstrated the maxillary sinus to be the most affected. This can indicate the inconsistency in predicting which sinuses are involved and warrant radiological imaging like a CT scan or MRI to identify the affected sinus and manage it accordingly [ 12 ]. Sinus CT may show opacification, air-fluid levels, and inflammation.…”

Section: Discussionmentioning

confidence: 99%

Orbital and Intracranial Complications of Acute Rhinosinusitis in a Tertiary Center, Saudi Arabia

Asiri,

Almusallam,

Almashari

et al. 2023

Cureus

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Background Rhinosinusitis is an inflammatory condition affecting the nasal cavity’s mucosa and paranasal sinuses. In rare cases, acute rhinosinusitis (ARS) might lead to significant orbital and intracranial complications. This study aims to review the patients who presented with orbital or intracranial complications of ARS and to identify the main outcomes of these complications and their prognosis. Methods In this study, a retrospective chart review of patients with orbital or intracranial complications of ARS who presented to the otolaryngology department at King Abdulaziz Medical City, Riyadh, Saudi Arabia from 2016 to 2022 was conducted. Results A total of 43 patients with orbital, intracranial, or both (orbital and intracranial) complications of ARS were included. The most involved sinuses were maxillary sinuses. The most reported orbital complications were subperiosteal abscesses, and the most reported intracranial complications were epidural abscesses. Conclusion Orbital and intracranial complications of ARS are serious and life-threatening if not recognized early and treated effectively. The majority of ARS complications in this study were orbital complications. Fortunately, most of the cases carry a favorable outcome.

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Section: Discussionmentioning

confidence: 99%

Orbital and Intracranial Complications of Acute Rhinosinusitis in a Tertiary Center, Saudi Arabia

Asiri,

Almusallam,

Almashari

et al. 2023

Cureus

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“…It is usually unilateral, and bilateral cases are typically associated with a prior infection or eye trauma. One study showed up that 78% of cases of orbital infections were directly caused by sinusitis, while other estimates say that up to 98% of cases of preseptal cellulitis are associated with concurrent rhinosinusitis, particularly disease involving the ethmoid sinuses [3,4]. It is hypothesized that this is due to direct spread of infection, or to venous drainage of the sinuses via ophthalmic veins.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Ocular Necrotizing Fasciitis in an Immunosuppressed Patient on Prescription Eye Drops

Landeen

Mallory

Cervenka

2020

Cureus

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Preseptal cellulitis is an infection of ocular tissue that is often unilateral and caused by extension of sinonasal disease. In rare instances it can lead to life-threatening necrotizing fasciitis. We present here a unique case of bilateral preseptal cellulitis incited by local conjunctivitis caused by prescription eye drops. The patient was immunosuppressed, which allowed her local inflammation to progress to severe infection and, ultimately, to necrotizing fasciitis. This necessitated serial debridement by ophthalmology and otolaryngology teams and a prolonged course of intravenous antibiotics monitored by an infectious disease team. Despite these interventions, the patient's vision did not return to baseline and she had persistent cosmetic and functional deformity. This case is unique due to the inciting incident of new prescription eye drops, the patient's immunosuppressed state leading to severity of infection, and the severe bilateral disease burden.

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“…Acute sphenoid sinusitis can result in symptoms such as headache, characteristically creating deep or vertex pain, nausea, and even orbital complications. Orbital complication of acute rhinosinusitis typically affects children and young adults [19]. Visual disturbances are rare but serious.…”

Section: Clinical Symptomsmentioning

confidence: 99%

Surgical Management of Acute Sphenoid Sinusitis: A Review

Abood

Alshammari

AlMutairi

et al. 2021

JPRI

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Sphenoidal sinusitis is usually described as acute inflammation of the sphenoid sinuses - either one or both - (the two large cavities just behind the nose and between the eyes). The disease is relatively uncommon—comparatively, chronic sphenoid sinusitis is more common—and may be limited to the sphenoid sinus or, more commonly, may involve multiple sinuses or pansinusitis. Acute sphenoid sinusitis can lead to symptoms such as headaches, nausea, and even complications in the orbit. For low vision, early diagnosis and treatment is essential to preserve vision and life. This study aims Learn about surgical approaches to the treatment of acute sinusitis

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Orbital Complications of Rhinosinusitis

Cited by 10 publications

References 9 publications

Orbital and Intracranial Complications of Acute Rhinosinusitis in a Tertiary Center, Saudi Arabia

Orbital and Intracranial Complications of Acute Rhinosinusitis in a Tertiary Center, Saudi Arabia

Bilateral Ocular Necrotizing Fasciitis in an Immunosuppressed Patient on Prescription Eye Drops

Surgical Management of Acute Sphenoid Sinusitis: A Review

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